- Practice location
- 119 Prospect St, 1ST Floor Suite 1, Ridgewood, NJ 07450-4405
- Phone
- 201-444-1600
- Fax
- 201-444-8774
- Last updated
- May 6, 2025
Fred Rezvani is a Specialist based in Ridgewood, NJ. Fred Rezvani practices in Ridgewood, NJ. The NPI Number for Fred Rezvani is 1104887694 and holds a License No. 25MA05115800 (NJ). The current practice location address for Fred Rezvani is 119 Prospect St, 1ST Floor Suite 1, Ridgewood, NJ 07450-4405 and can be reached out via phone at 201-444-1600 and via fax at 201-444-8774.
Provider Profile Details
- NPI Number
- 1104887694
- Provider Name
- Fred Rezvani
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 119 Prospect St, 1ST Floor Suite 1, Ridgewood, NJ 07450-4405
- Phone Number
- 201-444-1600
- Fax Number
- 201-444-8774
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 1, 2006
- Last Update Date
- May 6, 2025
- Certification Date
- May 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 119 Prospect St
1ST Floor Suite 1
Ridgewood, NJ 07450-4405 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-4405
- Phone Number
- 201-444-1600
- Fax Number
- 201-444-8774
Provider Business Mailing Address Details
- Address
- 119 Prospect St
1ST Floor Suite 1
Ridgewood, NJ 07450-4405 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-4405
- Phone Number
- 201-444-1600
- Fax Number
- 201-444-8774
License Information
- License Number
- 25MA05115800
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Ridgewood, NJ
View all Specialists in Ridgewood →- Advanced Laparoscopy LLCSpecialist · NPI 1790910917
- American Healthcare Partners LLC.Specialist · NPI 1235672296
- Bergen Anesthesia Group, P.c.Specialist · NPI 1194816249
- Cardiothoracic Anesthesia Group, LLCSpecialist · NPI 1043432529
- Dr. Bruce P Mindich, MDSpecialist · NPI 1396714051
- Dr. Eric Y Bentolila, MDSpecialist · NPI 1487726675
Frequently Asked Questions
What is the NPI number of Fred Rezvani?
The NPI number of Fred Rezvani is 1104887694. It was assigned on April 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Fred Rezvani?
Fred Rezvani is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA05115800.
Where does Fred Rezvani practice?
The practice location is 119 Prospect St, 1ST Floor Suite 1, Ridgewood, NJ 07450-4405. The office can be reached at 201-444-1600 (phone) or 201-444-8774 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104887694 directly on the NPPES registry website.